JERALD IRA SIMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039486

License Status

NOT RENEWED

Business

First Name

JERALD IRA

Last Name

SIMON

Suffix

Business Name

JERALD IRA SIMON MD

Original Issue Date

11/25/1964

Effective Date

11/25/1964

City

PALOS VERDES

State

Zip

90274

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006